Riccobono, Charles Anthony
Riccobono, Charles Anthony is an individual health care provider with primary practice located at 20 Prospect Ave Suite 915, Hackensack NJ 07601. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Riccobono, Charles Anthony can be contacted via phone (201) 342-9119.Contact Information
Primary practice address
20 Prospect Ave Suite 915
Hackensack NJ 07601
Phone: (201) 342-9119
Fax: (201) 342-3735
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MA24007 | New Jersey |
Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | MA24007 | New Jersey |
Profile Details
NPI number | 1215900527 |
---|---|
LBN Legal business name | Riccobono, Charles Anthony |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 8th, 2006 |
Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1215900527 | NPPES |
New Jersey | MEDICAID | 1415301 |
Popular Providers
-
Felig, David M
52 1St St , Hackensack NJ 07601-2044 -
Kutko, Martha C
30 Prospect Ave , Hackensack NJ 07601-1914 -
Snyder, Ronald
150 Overlook Ave , Hackensack NJ 07601-2206 -
Golding, Richard C
52 1St St , Hackensack NJ 07601-2044 -
Tanchel, Mark E
52 1St St , Hackensack NJ 07601-2044 -
Sharma, Veena
30 Prospect Ave , Hackensack NJ 07601-1914 -
Alexianu, Maria E
30 Prospect Ave , Hackensack NJ 07601-1915 -
Ellinghaus, Eric J
385 Prospect Ave , Hackensack NJ 07601-2570